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Medical Forum / General / Vision / January 2006

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Corneal Abrasion

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rordeb - 08 Jan 2006 17:53 GMT
Hi,

Just joined this group and have been reading as many of the posts
regarding corneal abrasions. Thanks to you all for the contributions -
it is nice to feel that I am not alone. I have been to the eye and ear
hospital approximately 5 times over the last three months (for the
abrasions that i score 7+ out of 10 and last longer than one day as I
am afraid of infection). I also suffer regular occurraces of abrasions
I would score 5 or lower - generally resolving themselves within 2
hours. I am taking daily drops, gels and night onitments but the only
times I enjoy relief is when I am taking antibiotic cream and drops. -
all from a simple fingernail injury.

I wake up to a pain that often rapidly ramps up. I do not get relief
from closing my eye - I need to sit in a darkened room staring a
certain way (minimum blinking), take pain killers, apply the drops
painfully and wait for the pain to become more manageable (generally
within 1 hour). I have tried to keep my eye closed sitting still but
find this too painful. Anyway enough of my whinging what I would like
to know is the following:-

1) I spend alot of time either on the computer or reading - can eye
strain / screen glare be a actor in corneal abrasions ? (Should I get
reading glasses with screen glare lenses?)

2) I enjoy wine with friends and family and since the recurrent
abrasions have signifiantly upped my daily water consumption - Is
alcohol comsumption and corneal abrasions a no-no.

Thanking you all in advance

Rory
EyeTech - 09 Jan 2006 13:03 GMT
Rory -

I don't believe wine consumption or close work would increase your risk for
abrasion (if I'm wrong someone will correct me).  But I do know that
abrasions with organic origins (fingernails, tree limb, etc) take much
longer to heal and tend to re-occur.  The cells on your cornea sometimes
don't adhere correctly, so the simple action of opening your eye will remove
them again and cause the abrasion again.  Have you seen a corneal
specialist?  Sometimes it needs to be derided so it will heal correctly,
your regular ophthalmologist can do this also.

As well as using your drops, gels and ointments, you might try lid hygiene.
Our eye lashes collect lots of debris and pollen throughout the day.  You
can use a mild baby shampoo and warm water on a cotton pad (not cotton ball)
or a commercially made lid wipe - gently wipe back and forth with your eye
closed and rinse.  Do this each night.  Or you can use a fresh warm wash
cloth while in the shower or tub.  Most people don't think about cleaning
their eyelashes (unless they wear makeup).  We preach lid hygiene to
everyone - especially if you are putting in a lot of ointments and gels,
they really tend to collect on the lashes.

Barb

> Hi,
>
[quoted text clipped - 28 lines]
>
> Rory
William Stacy - 09 Jan 2006 14:41 GMT
> 1) I spend alot of time either on the computer or reading - can eye
> strain / screen glare be a actor in corneal abrasions ? (Should I get
> reading glasses with screen glare lenses?)

Probably not. They don't hurt, but I can't see a relationship. Certainly
staring at a comp. screen without adequate blinking (normal=1 full
closure blink every 5 or 6 seconds) can do it.

> 2) I enjoy wine with friends and family and since the recurrent
> abrasions have signifiantly upped my daily water consumption - Is
> alcohol comsumption and corneal abrasions a no-no.

To the extent alcohol is a dehydrator, it could add drying.  Also might
encourage non-blinking.

w.stacy, o.d.
rordeb - 10 Jan 2006 13:17 GMT
Thanks for all the advice. Looks like I am going to have to get used to
it for some time to come.
 
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